How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $64.57 | Professional | None | $42.66 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $24.55 Typical High $32.36 | Professional | 52 · Reduced service | $23.44 | $24.55 | $32.36 |
BCBS Idaho Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $70.79 | Professional | None | $51.29 | $57.54 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $75.86 | Professional | None | $45.71 | $60.26 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $69.18 | Facility | None | $38.90 | $53.70 | $69.18 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $83.18 | Professional | None | $48.98 | $61.66 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 52 · Reduced service | $24.55 | $24.55 | $32.36 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $95.50 | Facility | None | $56.23 | $56.23 | $95.50 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $97.72 | Professional | None | $56.23 | $57.54 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $83.18 | Professional | None | $51.29 | $61.66 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $52.48 | Facility | None | $47.86 | $51.29 | $52.48 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $64.57 | Professional | None | $27.54 | $32.36 | $64.57 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $77.62 | Professional | None | $38.90 | $54.95 | $77.62 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $39.81 | $39.81 | $39.81 |
Where Idaho sits
The same service costs 4.1 times more in Alaska than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 8th of 51
$57.54
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.